Clinical prediction rule benefits low back pain patients
Rehab Regs, February 3, 2005
A patient's status on a clinical prediction rule for low back pain indicates the likelihood of a successful outcome from spinal manipulation treatment, according to a study recently published in the Annals of Internal Medicine. Factors in the rule include symptom duration and location, fear-avoidance beliefs, lumbar mobility, and hip rotation range of motion. The best results were from those patients who were positive on the rule, defined as meeting at least four out of five criteria, according to MD Week. The study examined 131 patients with low back pain, 18 to 60 years of age, who were referred to care provided by physical therapists. Patients were randomly assigned to receive physical therapy that included two sessions of high-velocity thrust spinal manipulation plus an exercise program, or an exercise program without spinal manipulation. Significantly greater improvements in pain and disability were observed after one and four weeks of treatment among patients receiving both physical therapy and spinal manipulation. Results indicated that a patient who is positive on the rule and treated with spinal manipulation has a 92% chance of achieving a successful outcome by the end of one week, reported MD Week.
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